Healthcare Provider Details

I. General information

NPI: 1679438709
Provider Name (Legal Business Name): VERONICA AN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W VALLEY BLVD # 3027
ALHAMBRA CA
91803-3338
US

IV. Provider business mailing address

300 W VALLEY BLVD # 3027
ALHAMBRA CA
91803-3338
US

V. Phone/Fax

Practice location:
  • Phone: 213-340-7373
  • Fax:
Mailing address:
  • Phone: 213-340-7373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6325
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number309503
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: